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GREY BRUCE HEALTH NETWORK ISCHEMIC STROKE CLINICAL PATHWAY ACUTE MEDICAL Braden Risk Assessment Hanover and District Hospital PATIENT ID DATE RISK FACTOR 1 2 3 4 Sensory Perception: Ability to respond
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How to fill out the Braden risk assessment:
01
Start by gathering the necessary information: To fill out the Braden risk assessment, you'll need basic information about the patient, such as their name, age, and medical history. Additionally, you'll need to know the patient's level of consciousness, mobility, and nutritional status.
02
Assess sensory perception: The first component of the Braden risk assessment is sensory perception. Evaluate the patient's ability to respond meaningfully to pressure-related discomforts. Assign a score ranging from 1 to 4, with 1 representing the most impaired sensation and 4 representing no impairment.
03
Evaluate moisture: The next step is to assess the patient's moisture level. Check for any signs of excessive sweating or incontinence. Assign a score ranging from 1 to 4, with 1 representing constant moisture and 4 representing rarely moist.
04
Examine activity: Assess the patient's activity level and mobility. Consider their ability to independently change positions or ambulate. Assign a score ranging from 1 to 4, with 1 representing complete immobility and 4 representing full mobility.
05
Assess mobility: Evaluate the patient's ability to independently change and control body positions. Consider their ability to turn and reposition themselves. Assign a score ranging from 1 to 4, with 1 representing completely immobile and 4 representing full mobility.
06
Evaluate nutrition: Consider the patient's daily nutritional intake and any potential weight loss. Assess both their food intake and their fluid intake. Assign a score ranging from 1 to 4, with 1 representing very poor nutrition and 4 representing excellent nutrition.
07
Assess friction and shear: Finally, evaluate the level of friction and shear the patient is exposed to. Consider the patient's ability to maintain good posture and their potential for sliding or rubbing against surfaces. Assign a score ranging from 1 to 3, with 1 representing significant friction and shear and 3 representing minimal friction and shear.
Who needs Braden risk assessment?
The Braden risk assessment is commonly used in healthcare settings, particularly in hospitals, long-term care facilities, and home healthcare agencies. It is recommended for patients who may be at risk for developing pressure ulcers or bedsores. This assessment can help healthcare providers identify individuals who require preventive measures and interventions to reduce the risk of pressure ulcers. It is especially important for patients who are immobile, bedridden, in a coma, or have limited sensory perception.
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What is braden risk assessment?
Braden risk assessment is a tool used to assess the risk of developing pressure ulcers in patients.
Who is required to file braden risk assessment?
Healthcare professionals such as nurses and doctors are required to fill out and file braden risk assessments for their patients.
How to fill out braden risk assessment?
Braden risk assessments are typically filled out by evaluating factors such as sensory perception, moisture, activity, mobility, nutrition, and friction/shear for each patient.
What is the purpose of braden risk assessment?
The purpose of braden risk assessment is to identify patients who are at risk of developing pressure ulcers and to implement preventive measures.
What information must be reported on braden risk assessment?
Information such as the patient's sensory perception, moisture level, activity level, mobility, nutrition status, and risk for friction/shear must be reported on the braden risk assessment.
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